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Life-threatening corrosive injury with hepato-renal-pulmonary failure in boric acid poisoning
  1. Harpreet Singh1,
  2. Deba Prasad Dhibar2,
  3. G S R S N K Naidu2
  1. 1 Emergency Medicine, GMCH, Chandigarh, India
  2. 2 Internal Medicine, Post Graduate Institue of Medical Education and Research (PGIMER), Chandigarh, India
  1. Correspondence to Deba Prasad Dhibar, Department of Internal Medicine, PGIMER, F-Block, Nehru Hospital, Chandigarh 160012, India; drdeba_prasad{at}

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A young female presented with burning sensation, ulceration of mouth and oral cavity following the intake of uncooked rice after a quarrel with her parents. Further enquiry revealed that they used boric acid powder as insecticide to preserve the rice. Clinically, she had extensive ulceration with congestion involving the buccal mucosa of lips, oral cavity and tongue (figure 1). Upper gastrointestinal endoscopy also revealed extensive corrosive injury with ulceration, mucosal hyperaemia and slough formation involving oropharynx, oesophagus and stomach, for which nasojejunal tube was placed for nutritional supplementation. She also developed acute hepatitis (aspartate aminotransferase 117 U/L, alanine aminotransferase 215 U/L, bilirubin 5.9 mg/dL) with acute renal failure (blood urea …

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  • Contributors HS: Patient management, collected data, preparation and review of manuscript. DPD: Patient management, conceptualized the idea and final critical review of the manuscript. GSRSNKN: Patient management, review of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Consent was obtained from parent(s)/guardian(s).

  • Provenance and peer review Not commissioned; externally peer reviewed.